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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARYLOU SANTOS MEDINA-BOLUS LVN
NPI 1124934310
Licensed Vocational Nurse in San Francisco, CA

Active since August 19, 2026
4150 CLEMENT ST, SAN FRANCISCO, CA 94121(415) 221-4810 Get Directions Write a Review

NPPES record added: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Marylou Santos Medina-bolus Lvn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYLOU SANTOS MEDINA-BOLUS LVN (NPI 1124934310) is an individual licensed vocational nurse in San Francisco, California, licensed in California (164833) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1124934310
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameMARYLOU SANTOS MEDINA-BOLUSCredential: LVN
Location Address4150 CLEMENT STSan Francisco, CA 94121-1563
Mailing Address7800 El Camino Real Apt 1118Colma, CA 94014-3177
Phone(415) 221-4810
Sole ProprietorYes
Enumeration DateAugust 19, 2026
NPPES CertifiedAugust 19, 2026
✔ NPI 1124934310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 164833
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
4150 CLEMENT ST, San Francisco, CA 94121
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SHANNON KISSINGER MSW
Social Worker
4150 CLEMENT ST
SAN FRANCISCO, CA 94121
San Francisco County (415) 221-4848
MS. AYESHA DELANY-BRUMSEY M.A.
Student in an Organized Health Care Education/Training Program
4150 CLEMENT ST
SAN FRANCISCO, CA 94121
San Francisco County (415) 221-4810
DYLAN LEE PHARMD
Pharmacist
4150 CLEMENT ST
SAN FRANCISCO, CA 94121
San Francisco County (415) 221-4810
MARY CAROLENE SAUR RN
Registered Nurse
4150 CLEMENT ST
SAN FRANCISCO, CA 94121
San Francisco County (415) 221-4810
SEAN ACE MINERALES
Registered Nurse
4150 CLEMENT ST
SAN FRANCISCO, CA 94121
San Francisco County (415) 221-4810
DR. PATRICK KWOCK ONG PHARM. D.
Pharmacist
4150 CLEMENT ST
SAN FRANCISCO, CA 94121
San Francisco County (415) 750-2054
MRS. MINDA MANUEL LAQUIAN RRT
Respiratory Therapist, Registered
4150 CLEMENT ST
SAN FRANCISCO, CA 94121
San Francisco County (415) 221-4810
SARAH CHOI N. P.
Nurse Practitioner (Family)
4150 CLEMENT ST
SAN FRANCISCO, CA 94121
San Francisco County (415) 221-4810

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marylou Medina-bolus's NPI number?

The NPI number for Marylou Medina-bolus is 1124934310. It was assigned to this individual provider in the NPPES registry on August 19, 2026.

Where is Marylou Medina-bolus located?

Marylou Medina-bolus practices at 4150 Clement St, San Francisco, CA 94121. The listed phone number is (415) 221-4810.

What is Marylou Medina-bolus's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Marylou Medina-bolus was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.